Peter Kim (NPI# 1760898555, PAC ID# 8325263007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760898555 |
| PAC ID by PECOS | 8325263007 |
| Professional Enrollment ID | I20170628002904 |
| Full Name | Peter Kim |
| Organization Legal Name | CHERRY WESTGATE FAMILY PRACTICE, INC |
| Address |
2000 Newark Granville Rd Suite 100 Granville OH 43023-7009 |
| Phone Number | 7405870087 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486687787 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 | 7405870087 | CHERRY WESTGATE FAMILY PRACTICE, INC |
| Organization Legal Name | CHERRY WESTGATE FAMILY PRACTICE, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Deshetler | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Mae Tahireh Gallagher | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Jason Winterhalter | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| David E Born | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Patrick J Scarpitti | Family Practice | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Street Address |
2000 NEWARK GRANVILLE RD SUITE 100 |
| City | GRANVILLE |
| State | OH |
| Zip | 43023-7009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Deshetler | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Mae Tahireh Gallagher | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Tara Freter | Nurse Practitioner | Eastwind Womens Health Inc | 2000 Newark Granville Rd, Suite 201, Granville, OH 43023-7010 |
| Patrick S Rheaume | Obstetrics/gynecology | Eastwind Womens Health Inc | 2000 Newark Granville Rd, Suite 201, Granville, OH 43023-7010 |
| Amol Arora | Obstetrics/gynecology | Eastwind Womens Health Inc | 2000 Newark Granville Rd, Suite 201, Granville, OH 43023-7010 |
| Jason Winterhalter | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| David E Born | Family Medicine | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Jessie Anderson | Nurse Practitioner | Eastwind Womens Health Inc | 2000 Newark Granville Rd, Suite 201, Granville, OH 43023-7010 |
| Patrick J Scarpitti | Family Practice | Cherry Westgate Family Practice, Inc | 2000 Newark Granville Rd, Suite 100, Granville, OH 43023-7009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Hamilton | Podiatry | 2158 Columbus Rd, Granville, OH 43023-1242 | |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Kevin T Graham | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Navin Muni | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Sarah Dorsky | Nurse Practitioner | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Andre De Leon | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Aaron J Kibler | Family Practice | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Dustin C Zimpfer | Chiropractic | 230 Broadway E, Suite 150, Granville, OH 43023-1363 | |
| Kelley Jo Breidigan | Clinical Social Worker | 128 S Main St, Granville, OH 43023-1409 | |
| Karen H Berdan | Optometry | 205 /2 S Prospect St, Granville, OH 43023-1423 | |
| Find all physicians in zip 43023 | |||
| City | GRANVILLE |
| Zip Code | 43023 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRANVILLE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.